Increased training and input from registered nurses is needed to identify appropriate health maintenance tasks to delegate to home care workers and to support development of training strategies. Using a qualitative case study approach, 4 states were selected with varying levels of restrictions in their nurse delegation regulations to conduct interviews. The researchers spoke with state leaders, agency leaders, and home care workers to learn how these policies affect the home care workforce’s ability to perform care tasks for their clients in order to allow clients to remain in their own homes.

This article explores how home care workers and the agencies that employ them interact with their state’s nurse practice act in the provision of care.